Mr. Brad R Buldak
Rehabilitation Counselor
70 E Washington St
Champaign
, Illinois 61820-3652
Mr. Brad R Buldak
Rehabilitation Counselor
70 E Washington St
Champaign
, Illinois 61820-3652
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Mr. Brad R Buldak
- 1401 Winding Ln
- Champaign, IL
- Zip : 61820-2631
- Phone :
Second Address
- Mr. Brad R Buldak
- 70 E Washington St
- Champaign, IL
- Zip : 61820-3652
- Fax : (217) 398-7787
- Phone : (217) 398-7785
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1235330846 |
|---|---|
| Provider Name | Mr. Brad R Buldak |
| First Address | Champaign, IL 61820-2631 |
| Second Address | Champaign, IL 61820-3652 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.